Active NPI
Jessica Michaud, MA, LCMHC
- Mental Health Counselor
- Londonderry, NH
National Provider Identifier
1053609347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 866
- Practice address
- 226 Rockingham Rd
Londonderry, NH 03053-2107 - Phone
- (603) 425-2989
- Fax
- (603) 425-2978
- NPI assigned
- Jul 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 866 | NH | Primary |
Addresses
Primary practice location
226 Rockingham Rd
Londonderry, NH 03053-2107
Mailing address
226 Rockingham Rd
Londonderry, NH 03053-2107
Phone (603) 425-2989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30429035 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 866 | NH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333584000000",
"number": "1053609347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 ROCKINGHAM RD",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030532107",
"telephone_number": "603-425-2989",
"fax_number": "603-425-2978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 ROCKINGHAM RD",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030532107",
"telephone_number": "603-425-2989",
"fax_number": "603-425-2978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAUD",
"first_name": "JESSICA",
"name_prefix": "Miss",
"credential": "MA, LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2012-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30429035",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Londonderry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.